The primary nursing intervention for myasthenia gravis is monitoring for and managing myasthenic crisis (respiratory failure) while optimizing medication timing and energy conservation. Myasthenia gravis is autoimmune disorder affecting neuromuscular junction, causing muscle weakness worsening with activity, improving with rest. Nursing priorities: assess respiratory function (vital capacity, negative inspiratory force) for crisis; administer anticholinesterase medications (pyridostigmine) on precise schedule (before meals for swallowing); plan activities during medication peak effect; have suction and intubation equipment available; educate about triggers (infection, stress, certain medications); and prepare for possible plasmapheresis or IV immunoglobulin during exacerbations. Documentation includes muscle strength, swallowing ability, and respiratory parameters. Patient education about disease management and crisis recognition. Nurses coordinate with neurology. Thymectomy may be curative for some. Balancing activity with rest prevents excessive weakness. Myasthenic crisis requires ICU care.

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Zambia

• Joseph Soko – 101 pts

• Visual Pathway Lesions
• Positive and Negative Symptoms
• Hallucinations and Delusions
• Antipsychotic Medications
• Emergency: Environmental Emergencies